Male sexual and reproductive health in cystic fibrosis: A concept mapping study

IF 6 2区医学 Q1 RESPIRATORY SYSTEM Journal of Cystic Fibrosis Pub Date : 2025-05-01 Epub Date: 2025-01-28 DOI:10.1016/j.jcf.2025.01.011

Kelly A. Prangley , Olivia M. Stransky , Jessica G. Burke , Sigrid L. Ladores , Kara S. Hughan , Gregory S. Sawicki , Traci M. Kazmerski

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Abstract

Background

Males with cystic fibrosis (MwCF) face general and disease-specific sexual and reproductive health (SRH) concerns. Using concept mapping (CM), this study identified the SRH topics valued by members of the CF community.

Methods

MwCF 18 years and older, parents and partners of MwCF, and healthcare providers participated in an online CM study. Participants individually brainstormed, sorted, and rated SRH topics important for MwCF. Using multidimensional scaling, hierarchical cluster analyses, and t tests to assess rating differences, participants interpreted results during an online meeting.

Results

Eighty-nine participants (32 MwCF; 6 parents; 9 partners; and 42 providers) generated 125 statements on male SRH in CF. Seventy-eight percent completed sorting and 73% rated statements based on importance. During interpretation, 20 participants named six clusters of SRH topics: 1) Family building and fertility; 2) Psychosocial aspects of SRH; 3) Being a parent or partner as a MwCF; 4) Sexual development, function, and treatments; 5) SRH education, communication, and awareness; and 6) SRH risks, comorbidities, and aging. Participants rated family building and fertility as highest in importance (mean = 4.06±0.36 of 5). Providers issued higher importance ratings compared to MwCF and parent/partner participants. Participants identified patient-centered outcomes for each cluster and focused on enhancing SRH knowledge, decision-making, and patient-provider communication in CF care.

Conclusions

The SRH topics, importance, and patient-centered outcomes identified in this study can inform future interventions and research to optimize the comprehensive clinical care delivery for MwCF.

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囊性纤维化患者的男性性健康和生殖健康：一项概念图研究

背景：患有囊性纤维化（MwCF）的男性面临着一般和疾病特异性的性健康和生殖健康（SRH）问题。使用概念映射（CM），本研究确定了CF社区成员重视的SRH主题。方法：18岁及以上的MwCF、MwCF的父母和伴侣以及医疗服务提供者参与在线CM研究。参与者单独进行头脑风暴，对MwCF重要的SRH主题进行排序和评级。使用多维缩放、分层聚类分析和t检验来评估评级差异，参与者在在线会议期间解释结果。结果：89名参与者(32 MwCF；6父母;9合作伙伴;和42个提供者)生成125个关于CF中男性SRH的陈述。78%的人完成了分类，73%的人根据重要性对陈述进行了评级。在口译过程中，20名参与者列出了6组性健康与生殖健康主题：1)家庭建设与生育；2)性生殖健康的社会心理层面；3)作为MwCF的父母或伴侣；4)性发育、功能及治疗；5)性健康教育、沟通和意识；6) SRH风险、合并症和年龄。参与者认为家庭建设和生育是最重要的（平均值= 4.06±0.36 / 5）。与MwCF和父母/伴侣参与者相比，提供者给出了更高的重要性评级。参与者确定了每个分组以患者为中心的结果，并重点关注CF护理中加强SRH知识、决策和患者-提供者沟通。结论：本研究确定的SRH主题、重要性和以患者为中心的结果可以为未来的干预和研究提供信息，以优化MwCF的综合临床护理提供。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cystic Fibrosis 医学-呼吸系统

CiteScore

10.10

自引率

13.50%

发文量

1361

审稿时长

50 days

期刊介绍： The Journal of Cystic Fibrosis is the official journal of the European Cystic Fibrosis Society. The journal is devoted to promoting the research and treatment of cystic fibrosis. To this end the journal publishes original scientific articles, editorials, case reports, short communications and other information relevant to cystic fibrosis. The journal also publishes news and articles concerning the activities and policies of the ECFS as well as those of other societies related the ECFS.